This type of vertigo is caused by a lesion of the vestibular nuclei, vestibulocerebellum, thalamus, or vestibular cortex, or their interconnecting fibers. Depending on the etiology (e.g., hemorrhage, ischemia, tumor, malformation, infection, multiple sclerosis, "vestibular" epilepsy, basilar migraine), vertigo may be transient or persistent, acute, episodic, or slowly progressive. It may be associated with other neurological deficits depending on the location and extent of the responsible lesion.
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